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 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-08-01 |