| NPI | 1093475204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN EBANKS President 504-256-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-07-06 |