| NPI | 1861463382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY OLOWE COO 915-771-8523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 621380000) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2019-11-13 |