| NPI | 1306562707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHNSON Grants Manager 915-263-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-01-28 |