NPI | 1659759744 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE FAYE CARPENTER My Evolv Division Director Ii 337-656-0435 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2015-05-11 |
Last Update Date | 2023-10-26 |