Organization
EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ALLEN (DIRECTOR/OWNER/CASE MANAGER)
(903) 295-0098
Entity
Organization
Contact information
Practice address
2300 BILL OWENS PARKWAY, 915, LONGVIEW, TX 75604
(903) 295-0098
(903) 295-0098
Mailing address
2300 BILL OWENS PKWY, 915, LONGVIEW, TX 75604-3033
(903) 295-0098
(903) 295-0098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
TX
Enumeration date
02/29/2008
Last updated
02/29/2008
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