Organization
COOL WATER CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA B FRY LCSW (OWNER)
(512) 963-2236
Entity
Organization
Contact information
Practice address
100 W CENTRAL TEXAS EXPY, SUITE 303, HARKER HEIGHTS, TX 76548-2079
(512) 963-2236
(512) 943-0151
Mailing address
100 W CENTRAL TEXAS EXPY, SUITE 303, HARKER HEIGHTS, TX 76548-2079
(512) 963-2236
(512) 943-0151
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
25240
TX
Other
Enumeration date
12/11/2015
Last updated
01/22/2016
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