| NPI | 1346938255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIE PALABASAN Representative 225-371-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |