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 |