| NPI | 1689052284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAINA ALLEN CEO 985-772-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-06-27 |