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 |