| NPI | 1477706075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOCORRO MAYNEZ-OLMOS Clinical Director 915-422-8399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 62661) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |