NPI | 1336694298 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDIE GENE CONERLY Owner 504-246-9860 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2016-08-22 |
Last Update Date | 2023-06-16 |