| NPI | 1962104034 |
|---|---|
| Doing Business As | THE MAGNOLIA GROUP |
| Entity Type | Organization |
| Authorized Contact | LAKESHA BROUSSARD Director Of Services 804-901-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |