| NPI | 1063830727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M MIMS Clinical Director/CEO 225-924-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 3676) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2015-08-08 |