| NPI | 1497625842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY CLAYTON Executive Director 318-401-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 172V00000X Community Health Worker | |
| 252Y00000X Early Intervention Provider Agency | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-04-12 |