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 |