| NPI | 1023315983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE A BUTLER Clinical Supervisor 225-928-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 418) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |