| NPI | 1104256957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONIQUE RANDALL Founder, CEO 985-768-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 2896) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |