An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
taxonomy 261QD1600X
Case Manager/Care Coordinator
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
taxonomy 171M00000X
Identifiers
Type
Value
Notes
05 (TX)
017409601
05 (TX)
017409601
TCM MEDICAID ID
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Region 16 Early Childhood Intervention
Type code 4recorded 2021-01-22
Region 16 Early Childhood Intervention
Type code 4recorded 2006-11-02
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
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