| NPI | 1386185791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON PATRICK MAZANT Owner/CEO/President 504-342-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 2203783801) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2022-03-04 |