Organization
WALK WITH ME COMMUNITY IMPROVEMENT CENTER
Active
Organization
WALK WITH ME COMMUNITY IMPROVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYIA LASHAY PORTER (EXECUTIVE DIRECTOR)
(985) 400-5901
Entity
Organization
Contact information
Practice address
19331 N 12TH ST, COVINGTON, LA 70433-5228
(985) 400-5901
(985) 400-5164
Mailing address
19331 N 12TH ST, COVINGTON, LA 70433-5228
(985) 400-5901
(985) 400-5164
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
08/06/2013
Last updated
11/07/2015
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