| NPI | 1023414448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANDRE STEWARD Clinical Director 337-794-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 63703) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |