| NPI | 1366824641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE BERKMAN Licensed Professional Counselor 985-503-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 4931) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 4931) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |