| NPI | 1871785626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA H PERALES Custodian Of Records 210-299-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX K6497) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2009-09-22 |