| NPI | 1730407966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK EBANKS Co Owner 225-638-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |