| NPI | 1346744828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI GUILLORY HALLER Owner/Provider 337-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |