| NPI | 1902475098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEMIKA NICOLE CALDWELL Owner / CEO 318-617-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-01-28 |