| NPI | 1891018826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ST. AMANT Owner/Managing Partner 318-208-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2023-07-24 |