NPI | 1619015161 |
---|---|
Entity Type | Organization |
Authorized Contact | RON ZIEGLER CEO 915-843-4776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2007-02-04 |
Last Update Date | 2020-08-22 |