| NPI | 1649644659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICIA MOSELY CEO 985-445-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-11-15 |
| Last Update Date | 2023-06-06 |