| NPI | 1326290321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE EUBANKS Director 214-629-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 554930000) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |