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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