| NPI | 1518633213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCELYN AVONGE LANDRUM-JOHNSON Co Owner 225-831-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |