| NPI | 1922307354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA J. BENNETT Owner 225-281-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 8115) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2014-02-08 |