| NPI | 1972887974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE HAMILTON Owner/Manager 225-227-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 10136662#HHH62) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-10-09 |
| Last Update Date | 2021-04-12 |