NPI | 1306029392 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN AARON LOVERN Owner 504-616-4064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA 3267) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |