| NPI | 1821436353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHRETT MCCLAIN Owner/Administrator 985-246-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.010946) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2014-04-30 |