| NPI | 1760486708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY PHILLIPS Executive Director 432-267-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 605630000) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |