NPI | 1588032536 |
---|---|
Entity Type | Organization |
Authorized Contact | TONI MARIA BURROUGHS Program Manager 512-629-6458 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2015-09-08 |
Last Update Date | 2015-09-08 |