| NPI | 1750275996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYIA PORTER Executive Director 985-474-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |