| 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 |