NPI | 1508300104 |
---|---|
Entity Type | Organization |
Authorized Contact | LITONIA LANDRY Administrator 225-921-4336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2016-12-15 |
Last Update Date | 2023-06-22 |