| NPI | 1881146280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLE C CARO Owner/Operator 985-790-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 3616) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |