| NPI | 1245346311 |
|---|---|
| Doing Business As | BLACK PEARL THERAPEUTIC AGENCY |
| Entity Type | Organization |
| Authorized Contact | KENYA D COLEMAN Owner/Operator 254-216-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management (Licence: DC LC50078237) |
| 251K00000X Public Health or Welfare (Licence: DC LC50078237) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-07-01 |