| NPI | 1538569280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PLUMBAR COO 337-321-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2023-06-27 |