Organization
JUDE'S PLACE LLC
Active
Other names
Jude's Place Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE J KELLY ACHE, BSCSM (DIRECTOR, CASE MANAGER)
(817) 266-9626
Entity
Organization
Contact information
Practice address
13537 LOST SPURS RD, ROANOKE, TX 76262-4508
(817) 266-9626
Mailing address
13537 LOST SPURS RD, ROANOKE, TX 76262-4508
(817) 266-9626
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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