| NPI | 1003608712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA METOYER Co Owner 424-379-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |