| NPI | 1114052826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD TASSIN Owner 504-472-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1174998) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-01-28 |