| NPI | 1598950370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A JOUBERT Member/Manager 225-387-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |