| NPI | 1952507782 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHILLIP S WENDELL CEO 225-810-4040 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2007-06-27 | 
| Last Update Date | 2010-04-16 |