| NPI | 1992071351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE LINGREEN Owner 281-402-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 201074) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |