| NPI | 1194964049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WENDELL CEO 225-810-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |