NPI | 1659658136 |
---|---|
Entity Type | Organization |
Authorized Contact | LACOYA PLATER Vice President 337-407-5148 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2023-06-28 |