| NPI | 1508512237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MELANIE JORDAN Chief Operating Officer 964-918-7940 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |