| NPI | 1699524603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANEY CARR Managing Member/Executive Director 832-647-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |