| NPI | 1659759140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTIN-BROOKS Owner 225-333-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4946) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |