| NPI | 1477041630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MOORE Executive Director 985-222-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: LA 2203783830) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-08-22 |