| NPI | 1770022345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH SCHULTZ BROCKIE Managing Member 214-793-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX H9820) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |