| NPI | 1497408892 |
|---|---|
| Doing Business As | YOUTH OF EXCELLENCE OF LA SAFEHAVEN THERAPEUTIC GROUP HOME |
| Doing Business As | YOUTH OF EXCELLENCE OF LOUISIANA SAFEHAVEN THERAPEUTIC GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | MARY WATSON Owner 318-341-3487 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |