| NPI | 1326405499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SINEGAL Fft Supervisor 337-315-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 721436134) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |