| 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 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-10-03 |