| NPI | 1831308428 |
|---|---|
| Professional Name | TAJ JAMAL CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9946) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-05-11 |