| NPI | 1760728356 |
|---|---|
| Former Legal Business Name | ALEXANDRIA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK JON CULLEN CEO 337-788-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |