| NPI | 1720850506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORIS BRANNON COO/Director 409-234-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |