| NPI | 1003248097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY SHELTON Director 281-714-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 60555) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 2255R0406X Specialist/Technologist, Rehabilitation, Blind | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2015-04-22 |