NPI | 1134690878 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA WILLIAMS Administrator 225-286-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2018-12-06 |