| NPI | 1376053975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LYNN Owner 504-388-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2024-07-30 |