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 |