Organization
EAST TEXAS CASE MANAGEMENT REFERRAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY CORDEL ALLEN M.ED. LBSW (DIRECTOR/OWNER)
(903) 295-0098
Entity
Organization
Contact information
Practice address
2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
(203) 241-5208
(903) 295-0098
Mailing address
2300 BILL OWENS PKWY APT 915, LONGVIEW, TX 75604-3060
(203) 241-5208
(903) 295-0098
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26290
TX
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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