| NPI | 1427190545 |
|---|---|
| Doing Business As | MIND BODY SPIRIT REHAB (MBS REHAB) |
| Entity Type | Organization |
| Authorized Contact | TRICIA FOX President 512-864-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX PT656380000) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 553120000) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 656380000) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX OT553120000) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-07-16 |