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