| NPI | 1073594610 |
|---|---|
| Other Name | MMO SULPHUR |
| Entity Type | Organization |
| Authorized Contact | ROBERT L MILLER CEO 225-293-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 11693) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2011-01-11 |