| NPI | 1104958701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RUBY ORTEGA Executive Director 432-332-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-02-10 |