| NPI | 1306209887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RESHONDA HARGROVE Manager 225-292-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 5617) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-06-19 |