| NPI | 1396702122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DEMPSEY President/CEO 817-759-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-08-01 |