| NPI | 1336534882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LANE INGRAM Owner 512-900-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72859) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |