NPI | 1124067145 |
---|---|
Former Legal Business Name | ANTARES BEHAVIORAL HEALTH, LLC |
Entity Type | Organization |
Authorized Contact | ROBERT L MILLER CEO 225-293-6774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2008-10-03 |