| NPI | 1265884951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHLINN ANN SIMS-FOUNTAIN Clinical Director/Owner 504-312-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5971) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |