| NPI | 1215929211 |
|---|---|
| Former Legal Business Name | CRESCENT COMMUNITY CARE INC |
| Entity Type | Organization |
| Authorized Contact | EARL J WILDE Chairman Of The Board 225-810-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |