| NPI | 1245535913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE S SIMPSON COO 225-293-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: LA 13378) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |