| NPI | 1578811139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FRANCISCO SALCEDO Director 504-615-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 005405595) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |