| NPI | 1114382975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY STRAWTHER Administrator 817-451-6413 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 454812) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |