| NPI | 1699052811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HERNANDEZ Director 806-785-2564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |