| NPI | 1760271910 |
|---|---|
| Doing Business As | LEA COUNTY SAGE |
| Entity Type | Organization |
| Authorized Contact | DEVON FITE Owner 512-595-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |