| NPI | 1346662228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALANDA RECHEL JUDGE Director 225-421-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2023-06-23 |