| NPI | 1972965952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NEWTON THOMPSON VP Finance And Administration 512-275-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-12-16 |