| NPI | 1225527658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD DARNELL TENNART Clinical Coordinator 225-924-9164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |