Organization · NPI-2
Elite Youth And Family Health Services LLC
Community/Behavioral Health · Crowley, LA
NPI number1669232674
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1669232674
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Youth And Family Health Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2024
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Elite Youth And Family Health Services LLC (Doing Business As)
Practice location
201 Harvest LnCrowley, LA 70526-4074
Phone 804-955-7134
Mailing address
201 Harvest LnCrowley, LA 70526-4074
Phone 804-955-7134
Authorized official
Monique Alteriss Clark
Ceo
8049557134
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