| NPI | 1275153793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MALATICH-LUCKEY Chief Executive Officer 469-299-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |