| NPI | 1053463562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESHONDA JONES Manager 225-292-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-06-19 |