| NPI | 1295158145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JOHNSON Owner 504-939-7996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 5082) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 5082) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |