| NPI | 1154343291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY R STRAWTHER System Administrator 817-451-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-09-29 |