| NPI | 1457600793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L JOHNSON Owner/Director 915-843-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 109107) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |