| NPI | 1366695959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BOURGEOIS President 504-376-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 4093) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |