| NPI | 1275013328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY LOGANS-ALI Owner 210-386-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 36044) |
| 251S00000X | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-11-05 |