| NPI | 1023481322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY CLARK CEO 225-771-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 6260) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |