| NPI | 1801260914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BLANCHARD Owner 985-446-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5968) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |