NPI | 1568238731 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED CHARLES FREY Owner/Manager 225-937-1449 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |