NPI | 1306365457 |
---|---|
Doing Business As | BREAKTHROUGH THERAPEUTIC SERVICES |
Entity Type | Organization |
Authorized Contact | KIZZY DIXON Program Manager 337-534-0254 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-09-10 |
Last Update Date | 2020-01-07 |