| NPI | 1083961809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE FLECK POOL Chief Compliance Officer 469-467-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |