| NPI | 1659474450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOFFER GERARD MCCOY President/Owner 337-233-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 026078) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |