| NPI | 1962646547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIL E. GIRON Executive Director 985-345-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 229) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |