| NPI | 1154878817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA N. STRATE Owner 225-718-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA L-139) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |