NPI | 1013733542 |
---|---|
Doing Business As | TRIVEPATH MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | ABRAM P HARRIS Co Owner 267-629-4064 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-11-30 |
Last Update Date | 2024-11-30 |