NPI | 1053029678 |
---|---|
Doing Business As | BEYOND INTENSIVE OUTPATIENT PROGRAM , LLC |
Entity Type | Organization |
Authorized Contact | SHEMEELA GAIL HOWARD Owner 225-930-5056 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2022-11-14 |
Last Update Date | 2023-06-18 |