| NPI | 1972729127 |
|---|---|
| Other Name | LELIA JACKSON RESIDENCE, #98 |
| Entity Type | Organization |
| Authorized Contact | DONNA M. HARRELL Adm. Co. 4 225-634-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 703) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |