| NPI | 1184913451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BROMMELAND GONZALEZ Owner 985-209-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA APO5139) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2015-01-27 |