| NPI | 1649608019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BLONDEAU Owner/Agent Of Service 225-293-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |