| NPI | 1194746016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SANTELLANA Claims Director 972-233-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2026-04-10 |