| NPI | 1801892716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL J ARLEDGE CFO 337-237-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 1118991) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-07-14 |