| NPI | 1174162762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BOYD Owner 337-513-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-08-27 |