| NPI | 1962164855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD GRAVES Managing Member 713-927-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-10-08 |