Taj Jamal Clark in Pasadena - Addiction (substance Use Disorder)
Taj Jamal Clark - NPI 1831308428
Taj Jamal Clark is a Addiction (substance Use Disorder) in Pasadena, Texas. Taj Jamal Clark practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Taj Jamal Clark is 1831308428. The last update date is 2011-05-11.
Taj Jamal Clark's current location address is 3130 Strawberry Rd, Pasadena, Texas. You can contact this provider via phone number 8329841868. The mailing address for Taj Jamal Clark is 3130 Strawberry Rd, Pasadena, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taj Jamal Clark |
|---|---|
| Address | 3130 Strawberry Rd, Pasadena, Texas |
| Phone Number | 8329841868 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCDC |
NPI Number Detail
| NPI Number | 1831308428 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 3130 Strawberry Rd |
|---|---|
| City | Pasadena |
| State | Texas (TX) |
| Post Code | 775041767 |
| Phone Number | 8329841868 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 9946 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Taj Jamal Clark?
The Taj Jamal Clark has been issued the NPI (National Provider Identifier) 1831308428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Taj Jamal Clark is physically located?
The Taj Jamal Clark is situated at the following address: 3130 Strawberry Rd, Pasadena, TX 775041767.
What is the Taj Jamal Clark's specialty and taxonomy code?
The Taj Jamal Clark's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did Taj Jamal Clark receive its 1831308428 assignment?
The Taj Jamal Clark was assigned its 1831308428 on 2007-05-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Taj Jamal Clark most recently updated?
The details pertaining to the Taj Jamal Clark, including its address, specialty, and other relevant information, were last refreshed on 2011-05-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC