| NPI | 1174714521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH POWELL Executive Director 214-476-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 1997) |
| Additional Taxonomies | 251S00000X (Licence: TX 1997) |
| 251V00000X Voluntary or Charitable (Licence: TX 1997) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2015-08-12 |