NPI | 1912289935 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE MARROTT Administrator 915-598-6616 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: TX 106791) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |