| NPI | 1336500743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE VERDIN Owner/Manager 504-314-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 2203783561) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2023-07-05 |