| NPI | 1679859383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA RODRIGUEZ Owner 225-235-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 8579) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |