| 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 |