| NPI | 1255774774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNI ROCHELLE GARCIA-LICKERT President 210-381-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |