NPI | 1962278762 |
---|---|
Doing Business As | HOLISTIC HAVEN |
Entity Type | Organization |
Authorized Contact | TOMMIE JEROME DYER CEO 225-371-2945 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2023-12-01 |
Last Update Date | 2023-12-01 |