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 | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-06-19 |