| NPI | 1821333584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA SMITH Owner 985-514-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: LA BH0012217) |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2023-02-13 |