| NPI | 1922217785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN HEFFERNAN Clinical Director 985-624-2267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA SA0007136) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |