NPI | 1578554853 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT L MILLER CEO 225-293-6774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 7858) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2011-01-11 |