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 |