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Organization

COMMUNITY ACTION CORPORATION OF SOUTH TEXAS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANN AWALT (CEO)
(361) 664-0145
Entity
Organization

Contact information

Practice address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 668-3319
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 668-3319

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003773102
TX
05
017437701
TX
05
063190501
TX
05
115979004
TX
Enumeration date
09/07/2006
Last updated
10/01/2018
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