| NPI | 1043823180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LYNN ROBERSON Owner 225-772-5059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-11-16 |