| NPI | 1699071951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M FARLEY President 210-379-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 1407077985) |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 1407077985) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |