| NPI | 1134592785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARION WHITE Billing Manager 800-769-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: TX 760699267) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |