| NPI | 1013471812 |
|---|---|
| Former Legal Business Name | CLARITY PTH LLC |
| Entity Type | Organization |
| Authorized Contact | JACKIE FUENTES Office Manager 786-546-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |