| NPI | 1629639356 |
|---|---|
| Doing Business As | SHARESE MARTIN |
| Entity Type | Organization |
| Authorized Contact | SHARESE MARTIN Lpc 281-382-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |