NPI | 1427800804 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI DARNELLE LEWIS President 225-505-5717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |