East Texas Case Management Referral Service

NPI #1912175431 in Longview, Texas

Provider Information

NPI Number: 1912175431
Entity Type: Organization
Organization Name: East Texas Case Management Referral Service
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 2300 BILL OWENS PKWY APT 915
City: Longview
State: Texas
ZIP Code: 75604-3060
Phone: (203) 241-5208

Authorized Official

Name: MR. JEFFREY CORDEL ALLEN, M.ED. LBSW
Title: DIRECTOR/OWNER
Phone: (903) 295-0098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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