| NPI | 1770537607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY MALLET Office Manager 337-783-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 9563) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-05-01 |