Provider Demographics
NPI:1144467952
Name:COMMUNITY MANAGEMENT
Entity type:Organization
Organization Name:COMMUNITY MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-251-6477
Mailing Address - Street 1:PO BOX 1283
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1283
Mailing Address - Country:US
Mailing Address - Phone:469-296-0033
Mailing Address - Fax:214-975-1994
Practice Address - Street 1:6201 TECHNOLOGY DR
Practice Address - Street 2:SUITE 120
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3264
Practice Address - Country:US
Practice Address - Phone:469-296-0033
Practice Address - Fax:214-975-1994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty