| NPI | 1164699757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE ARCHER Medical Director 337-312-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 201314) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |