| NPI | 1891113452 |
|---|---|
| Doing Business As | LISA LARA PEREZ |
| Entity Type | Organization |
| Authorized Contact | LISA DENISE LARA PEREZ Program Adiminstrator 361-462-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |