| NPI | 1114315694 |
|---|---|
| Doing Business As | BRIGHTSIDE SOCIAL SERVICES LOUISIANA |
| Entity Type | Organization |
| Authorized Contact | LOUIS ROQUEMORE President 225-620-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-06-23 |