# EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912175431
- **Authorized official:** MR. JEFFREY CORDEL ALLEN M.ED. LBSW (DIRECTOR/OWNER)
- **Authorized official phone:** (903) 295-0098

## Contact information

- **Practice address:** 2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
- **Practice address phone:** (203) 241-5208
- **Practice address fax:** (903) 295-0098
- **Mailing address:** 2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
- **Mailing address phone:** (203) 241-5208
- **Mailing address fax:** (903) 295-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 26290 | TX | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008