Organization
THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Active
Other names
SOUTHEAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE YOUNG (CEO)
(713) 970-3385
Entity
Organization
Contact information
Practice address
5901 LONG DR, HOUSTON, TX 77087-1003
(713) 970-4567
(713) 970-4577
Mailing address
5901 LONG DR, HOUSTON, TX 77087-1003
(713) 970-4567
(713) 970-4577
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
11435
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096850
PK
—
Enumeration date
07/30/2006
Last updated
07/25/2024
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