| NPI | 1518116227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PAUL BAUDOIN Owner 337-234-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA MD009000) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |