| 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 |