| NPI | 1790283638 |
|---|---|
| Doing Business As | BROOKYS HAVEN |
| Entity Type | Organization |
| Authorized Contact | DIANE WILLIAMS Owner 318-423-1367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 101Y00000X) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 101Y00000X) |
| 101YM0800X Counselor, Mental Health (Licence: LA 101YM0800X) | |
| 251E00000X Home Health (Licence: LA 101YM0800X) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 103TH0004X) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-06-16 |