| NPI | 1841204658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SQUIERS Vice President 936-633-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-01-22 |