| NPI | 1255072633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHLINN S FOUNTAIN CEO 504-312-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-12-19 |