| NPI | 1407094253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD DUVON STEWMAN President 225-247-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1104) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |