| NPI | 1043916513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY BELL MAYO CEO 225-250-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-06-07 |