| 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 |