| NPI | 1184027195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JEIDER Chief Executive Officer 225-366-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |