| NPI | 1679688535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WILLIAMS Practice Management Consulting 806-771-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 1136992) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-01-29 |