| NPI | 1669030367 |
|---|---|
| Doing Business As | ADRIENNE M. JOHNSON |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE MARIE JOHNSON Director 817-789-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |