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WALK WITH ME COMMUNITY IMPROVEMENT CENTER

Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness

Provider NPI: 1457783078

Organization Information:
Organization Name:  WALK WITH ME COMMUNITY IMPROVEMENT CENTER
Organization is not Subpart
Authorized Official:  LATOYIA LASHAY PORTER  EXECUTIVE DIRECTOR  985-400-5901

Practice Location:
19331 N 12TH ST  COVINGTON, LA 70433-5228 US
Tel: 985-400-5901  Fax: 985-400-5164

Business Mailing Address:
19331 N 12TH ST  COVINGTON, LA 70433-5228 US
Tel: 985-400-5901  Fax: 985-400-5164

NPI Information:
NPI: 1457783078
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N320800000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Illness
N385HR2055XRespite Care Facility
Respite Care
N251C00000XAgencies
Day Training, Developmentally Disabled Services
N251K00000XAgencies
Public Health or Welfare
N251V00000XAgencies
Voluntary or Charitable
Y251S00000XAgencies
Community/Behavioral Health

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251S00000X

Type:

Classification:



Definition:



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