| NPI | 1225700941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DOUGLAS Director 985-746-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |