| NPI | 1437363579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON SPEARS Manager 225-505-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 12757) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |