NPI | 1518601152 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNESHA A SMITH Owner 225-330-9773 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-04-20 |