| NPI | 1053460972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILCOX CFO 281-364-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-11-14 |