| NPI | 1275764870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSE HERNANDEZ CEO/Owner 361-855-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2011-01-14 |