| NPI | 1114255254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J STELLAR Owner 469-951-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 19779547) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-06-24 |