| NPI | 1104971399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN CROSSLEY Program Manager 504-822-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 220383484) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-06-06 |