| NPI | 1861710642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILSON Clinical Director 225-803-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 433) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |