| NPI | 1073601670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE S. RUSH Administrator 432-335-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-07-12 |