| NPI | 1770843997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SMITH President/Director 985-878-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 15250) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |