| NPI | 1265878318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MECHELE DE AVILA EVANS Owner 504-453-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4065) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-07-21 |