| NPI | 1508819202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-11-13 |