| NPI | 1215389275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H COLLETT Owner 225-892-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: LA 5658) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |