| NPI | 1134668569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HEBERT Manager 337-290-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 9232) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |