| NPI | 1316178353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARCUS GORDON Owner 504-319-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4592) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |