| NPI | 1972932705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA COLLINS Executive Director 225-933-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 15479) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |