Organization
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Active
Other names
ECI Project Ninos
Organization subpart
No
Provider details
NPI number
Authorized official
ANN AWALT (CEO)
(361) 664-0145
Entity
Organization
Contact information
Practice address
5709 SPRINGFIELD AVE, LAREDO, TX 78041-3282
(956) 728-1769
Mailing address
5709 SPRINGFIELD AVE, LAREDO, TX 78041-3282
(956) 728-1769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/02/2018
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