| NPI | 1306637947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYINDAMOLA DUNTOYE SIMIEN Program Director 337-349-9849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |