| NPI | 1083461602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMARIAH RYE BROWN Owner 337-515-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-02-04 |