| NPI | 1154876456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE PRICE Mhp 504-319-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 008909029) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |