| NPI | 1326708736 |
|---|---|
| Doing Business As | LAJEANS MENTAL HEALTH REHAB BOUTIQUE LLC. |
| Entity Type | Organization |
| Authorized Contact | DEWAN SMITH-WILLIAMS Pmhap RN 330-595-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |