| NPI | 1003171026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRA LADNER Mental Health Regional Director 985-624-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 2083) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |