| NPI | 1073702783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CHARLES JONES Executive Director 985-232-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 7324) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |