| NPI | 1073968632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI REBELLA LAVIN Owner/Therapist 504-417-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA OTZ.12356) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |