| NPI | 1508269721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRIE IRVING CEO 832-322-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |