| NPI | 1578822177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYANCE JOSEPH MATHIEU, Executive Director 337-436-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 8998) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |