| NPI | 1821294349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA K GRISHAM Executive Director 254-405-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 33966) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-19 |