| NPI | 1003167446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELL ELLIS Executive Director 225-300-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 507) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |