| NPI | 1922209972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX VILLA Admin 956-668-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 649860000) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 21939) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 20234) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-31 |