| NPI | 1134565229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RONNET DONYELL MCDANIEL Owner/Program Manager 832-893-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |