Deep East Texas Development Council

NPI #1053667436 in Jasper, Texas

Provider Information

NPI Number
1053667436
Entity Type
Organization
Organization Name
Deep East Texas Development Council
Primary Specialty
Case Management
Enumeration Date
Aug 3, 2012
Last Updated
Aug 13, 2012

Practice Location

Address
210 PREMIER DR
City
Jasper
State
Texas
ZIP Code
75951-7495
Phone
(409) 384-5704

Authorized Official

Name
MR. WALTER G DIGGLES SR.
Title
EXECUTIVE DIRECTOR
Phone
(409) 384-5704

Specialties & Taxonomy Codes

Specialty
Case Management

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