| NPI | 1922374933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA O IGIEDE Administrator 225-928-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1884791) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |