| NPI | 1952844060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON WARSHAW Owner 337-515-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 12393) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-12-12 |