| NPI | 1558635037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LISKA Owner 972-422-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 676695) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2025-05-02 |