| NPI | 1235640764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLET O'DELL BERCKES Owner, Provider 504-259-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 6884) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |