| NPI | 1750444303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE J SMITH Reimbursement Manager 409-839-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX NA) |
| 251B00000X Case Management | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-12-05 |