| NPI | 1346641727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART D SMALL Owner 972-989-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2015-10-26 |