NPI | 1649421736 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD GLEASON Director 985-853-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 10220) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |