| NPI | 1659120954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYINDAMOLA DUNTOYE SIMIEN CEO 337-349-9849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 251E00000X Home Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |