| NPI | 1154855591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARCUS D PATTERSON Owner 225-647-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 2203783205) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-10-09 |