| NPI | 1902211519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE MAUDELL JONES Owner 682-301-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 172V00000X) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |