| NPI | 1013705789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER C RUFFIN Program Administrator 985-688-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2026-02-11 |