NPI | 1740539410 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARISSA TAYLOR Owner 985-778-9141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA ap03867) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |