| NPI | 1225285893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK SIEVERS Executive Director 504-454-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 8010371MHC) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-11-10 |