| NPI | 1386587939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BROWN Ex Dir 469-755-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |