| NPI | 1225396005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B HARRIS Owner/Provider 210-979-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 25515) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |