| NPI | 1871820969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANE BATTISTE Manager 225-620-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |