| NPI | 1982848875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L PRATT Owner 225-294-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 35176177K) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |