NPI | 1215281845 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA HARTDEGEN Clinic Manager 985-624-4450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 240617) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2012-11-05 |