| NPI | 1336866466 |
|---|---|
| Doing Business As | LOVE IS OUTREACH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MARQUESIA CARLISLE Founder, Cei 469-831-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-11-15 |