| NPI | 1407269418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON GALVAN Administrator 956-847-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-10-16 |