| NPI | 1720973951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRISE LARKS Director 985-710-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |