| NPI | 1487768602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR R ACOSTA Officer Business Development 918-224-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |