NPI | 1912000472 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH DIANE DURHAM Administrator 469-831-2541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2006-09-07 |
Last Update Date | 2024-02-26 |