| NPI | 1619924982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN BANKS-KIRK Owner 225-929-7239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2017-06-13 |