NPI | 1528614625 |
---|---|
Entity Type | Organization |
Authorized Contact | JOCEYLN TAYLOR Owner 225-412-7912 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
252Y00000X Early Intervention Provider Agency | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2019-08-14 |
Last Update Date | 2023-06-22 |