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 |