| NPI | 1609142033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYEL PRUST Executive Director 225-928-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA AC2104) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |