NPI | 1952171605 |
---|---|
Doing Business As | THE REMARKABLE BOUTIQUE |
Entity Type | Organization |
Authorized Contact | CHERESE IZZARD Director 267-777-1206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103K00000X Behavior Analyst |
101Y00000X Counselor | |
171M00000X Case Manager/Care Coordinator | |
251B00000X Case Management | |
251E00000X Home Health | |
252Y00000X Early Intervention Provider Agency | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-01-04 |