| NPI | 1083933501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL L RENFRO Owner/Operator 504-339-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 3439) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |