| NPI | 1306630595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GUILLORY Authorized Official 337-459-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |