| NPI | 1992691380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE HUNTER Owner 318-617-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |