| NPI | 1073021663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYN MEREDITH Manager 504-267-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 3922) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-02-20 |