NPI | 1992027411 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINALD DUVOR STEWMAN President 225-247-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2010-02-25 |
Last Update Date | 2010-02-25 |