| NPI | 1366981557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BROWN SMITH Owner 225-450-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-09-06 |