| NPI | 1033588793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLE MONICA ESCOUSSE Clinical Director/Owner 985-276-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |