| NPI | 1225183213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNNE ELFERT Business Manager 337-431-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: LA 2203783669) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-09-27 |