NPI | 1588030571 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD FRANKS Sole Member 337-230-0318 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5240) |
Enumeration Date | 2015-08-13 |
Last Update Date | 2015-08-13 |