| NPI | 1679070825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP S HARRIS Counselor 305-509-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75773) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |