| NPI | 1639304314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IONA LEBLANC Director 409-892-5086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 33546) |
| Enumeration Date | 2009-05-24 |
| Last Update Date | 2009-05-24 |