| NPI | 1124175237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FAULKNER Chief Financial Officer 936-539-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 660180000) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |