| NPI | 1235640095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MOUTON President 855-452-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 8790) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |