| NPI | 1205337581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BRAZDA Owner 337-319-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-06-25 |