| NPI | 1770753303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C. MITTENDORF Director 225-621-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 260A) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |