| NPI | 1295462174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUKIA N RELFORD Program Administrator 409-273-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-03-27 |