| NPI | 1285193185 |
|---|---|
| Doing Business As | BODY & SOUL REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | DERENDA FLOWERS CFO, VP 318-283-3299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-27 |