| NPI | 1164897708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZANDA PRISCILLA WILLS Clincian 504-827-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5054) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |