| NPI | 1043543762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN INGRAM Managing Member Of General Partner 281-914-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2012-09-19 |