NPI | 1972938769 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE LEJEUNE BULLER Owner 225-663-0205 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 11837) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-11 |