| NPI | 1629651427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BROUSSARD Vice President Of Compliance 985-333-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |