| NPI | 1558196774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TRAVAGLIO Owner 409-719-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2026-07-21 |