Community Action Corporation of South Texas

Organization Active NPI Early Intervention Provider Agency · Alice, TX

NPI 1609979137 · NPPES record last updated Oct 1, 2018

Key facts

NPI
1609979137
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
COMMUNITY ACTION CORPORATION OF SOUTH TEXAS
Practice address
204 E 1St St
Alice, TX 78332-4822
Phone
(361) 664-0145
Fax
(361) 668-3319
NPI assigned
Sep 7, 2006
Organization subpart
No

Authorized official

Name
Ms. Ann Awalt
Title
Ceo
Phone
(361) 664-0145

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Communtiy Action Head Start Services (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP
133V00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

204 E 1St St
Alice, TX 78332-4822

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other identifiers

IdentifierTypeStateIssuer
003773102MedicaidTX
017437701MedicaidTX
115979004MedicaidTX
063190501MedicaidTX

Other providers in Alice, TX

All providers in Alice, TX · Early Intervention Provider Agency in Texas

Sources for this page

Verify at the official NPI Registry.