| NPI | 1609232644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE POWELL Clinical Director 225-275-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |