| NPI | 1508609157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ALLEN Owner 225-337-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-08-22 |