| NPI | 1700151263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY DARTEZ Executive Director 337-477-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1156) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-09-06 |