| NPI | 1235500711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYLA MONIQUE814 PARKER Owner 225-978-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |