| NPI | 1679775787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD COLBERT Owner 225-926-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |