| NPI | 1427936640 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OTIS AUTREY Owner 225-772-2314 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 251B00000X Case Management | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-25 | 
| Last Update Date | 2025-08-25 |