| 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 |