| NPI | 1396546925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L CARR Owner 817-307-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |