| NPI | 1245699792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINITY NICOLE WEBER Mental Health Technician 337-940-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |