NPI | 1265580807 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLON CRAIG WASHBURN President 817-421-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 509420000) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |