| NPI | 1518375930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEGATHA WILSON-ARDOIN Executive Director 225-205-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |