Organization
A 2 DREAM LLC
Active
Other names
Aspire 2 Dream
Organization subpart
No
Provider details
NPI number
Authorized official
SHUKIA NICOLE RELFORD (EXECUTIVE DIRECTOR)
(409) 293-3707
Entity
Organization
Contact information
Practice address
2295 N 10TH ST, BEAUMONT, TX 77703-5013
(409) 293-3707
Mailing address
2295 N 10TH ST, BEAUMONT, TX 77703-5013
(409) 293-3707
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4242901
—
TX
Enumeration date
04/13/2021
Last updated
07/22/2022
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