| NPI | 1114894466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA MERCEDES DUCHICELA Director Program 979-571-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-08-07 |