| NPI | 1710996335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY STEVENSON Owner 936-441-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |