| NPI | 1932499530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERSHUNDALA WRIGHT O'ROURKE Administrator 225-603-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |