Organization
REGIONAL EMPLOYEE ASSISTANCE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR)
(615) 465-3334
Entity
Organization
Contact information
Practice address
510 E RIO GRANDE ST, VICTORIA, TX 77901-6033
(361) 570-1082
(361) 570-1091
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7042
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP129869
TX
Other
Enumeration date
01/12/2016
Last updated
07/28/2021
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