| NPI | 1841993334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR EKINADUESA IDUSUYI Director 225-288-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-08-18 |