| NPI | 1124217278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUSAN DAVIS Director 225-664-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 11056) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |