| NPI | 1215106471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES LUNA Director/Owner 915-591-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-04-20 |