| NPI | 1013190180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A CRINEL CEO 985-359-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: LA 14012) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 14012) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-01-31 |