| NPI | 1477128288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANEY L HIPPLER Regional Director Of Clinic Ops 318-315-7093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |