| NPI | 1124996806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKIYAH PARQUET Owner 225-627-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |