| NPI | 1811143779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BECK Owner 281-922-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |