| NPI | 1215722558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMARIAH BROWN Owner 337-515-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |