| NPI | 1053603845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSWALD NWOGBO CEO 225-636-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-07-05 |