| NPI | 1265984082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE DELAUNE NOLAN Cpst/Psr 985-789-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1033588793) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |