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 | |
261Q00000X Clinic/Center | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-05-01 |
Last Update Date | 2025-02-04 |