| NPI | 1053083113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA GONZALEZ Case Manager 915-777-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-07-01 |