| NPI | 1659002475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA JENKINS President 254-405-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-02-06 |