NPI | 1114474939 |
---|---|
Entity Type | Organization |
Authorized Contact | LA'SHON DANETTE RUBIN-WILSON Owner/Director 337-326-0378 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-09-09 |