NPI | 1790236586 |
---|---|
Former Legal Business Name | HOLISTIC BEHAVIORAL HEALTH SERVICE OF LOUISIANA |
Entity Type | Organization |
Authorized Contact | TOMMIE JEROME DYER CEO/Owner 225-371-2945 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: LA 510417) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251B00000X Case Management (Licence: LA 510417) | |
252Y00000X Early Intervention Provider Agency | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2016-10-17 |
Last Update Date | 2023-09-06 |