| NPI | 1346589843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL MILLER Board President 337-824-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA SA0003505) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |