NPI | 1275210213 |
---|---|
Entity Type | Organization |
Authorized Contact | DICKSON E IDUSUYI CEO 225-610-5376 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-06-30 |