| NPI | 1508273889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN PRIMEAUX SHOUMAKER Owner 337-532-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4512) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2015-10-05 |