| NPI | 1427794163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE OLIVER Owner 225-306-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-10-30 |