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 |