NPI | 1164254496 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA BEARD Owner 318-801-8868 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-08-15 |
Last Update Date | 2024-08-15 |