| NPI | 1558431106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L ESTES Executive Director 337-292-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251B00000X Case Management (Licence: LA CM 4387) |
| 251S00000X Community/Behavioral Health | |
| 261QD0000X Clinic/Center, Dental | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-08-03 |