NPI | 1558780767 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAIG DON VARNADO Owner 504-813-5665 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 6387) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |