| NPI | 1306187216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVETTA SELLERS Administrator 832-563-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 010926) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 820102) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 813897) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |