Jude's Place LLC

NPI #1013467000 in Roanoke, Texas

Provider Information

NPI Number
1013467000
Entity Type
Organization
Organization Name
Jude's Place LLC
Primary Specialty
Case Management
Enumeration Date
Oct 13, 2016
Last Updated
Oct 13, 2016

Practice Location

Address
13537 LOST SPURS RD
State
Texas
ZIP Code
76262-4508
Phone
(817) 266-9626

Authorized Official

Name
CELESTE J KELLY, ACHE, BSCSM
Title
DIRECTOR, CASE MANAGER
Phone
(817) 266-9626

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Case Management

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