| NPI | 1104204296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ANDERSON Vice President/CFO 225-408-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2017-10-09 |