| NPI | 1104147693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WATSON President 682-472-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2024-12-12 |