| NPI | 1215365689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BLONDEAU Owner/Agent Of Service 225-293-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2023-07-24 |