| NPI | 1316968316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON EHIOGUH Administrator 972-708-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-06-22 |