| NPI | 1366687527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARRIS Member 225-892-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NA) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |