| NPI | 1417617812 |
|---|---|
| Doing Business As | LAJEANS MENTAL HEALTH BOUTIQUE LLC. |
| Doing Business As | LAJEANS MENTAL HEALTH REHAB BOUTIQUE LLC. |
| Entity Type | Organization |
| Authorized Contact | DEWAN SMITH-MURRAY CEO 330-595-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2023-05-30 |