| NPI | 1053790659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE HALL Owner Administrator 225-305-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9810) |
| Additional Taxonomies | 251B00000X Case Management (Licence: LA 9810) |
| 251S00000X Community/Behavioral Health (Licence: LA 9810) | |
| 252Y00000X Early Intervention Provider Agency (Licence: LA 9810) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2016-06-17 |