| NPI | 1639246143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENISE MARKS Administrative Support Ap 409-866-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 1339329) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-09-20 |