| NPI | 1013127166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT A MORELLA CFO 225-927-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 194691) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-11 |