| NPI | 1740961424 |
|---|---|
| Doing Business As | SAGACIOUS BEAUTY |
| Doing Business As | SAGACIOUS MEDICAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JUNE WILLIAMS FULLER Case Manager 832-264-5293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |