NPI | 1043413966 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CHOUTEAU Director 214-340-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
Enumeration Date | 2007-06-07 |
Last Update Date | 2025-09-11 |