| NPI | 1962134767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE D JONES Director 337-296-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-08-13 |