| NPI | 1669701058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALIRE MELANCON Owner 504-913-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 15292) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |