| NPI | 1396281077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHLINN S FOUNTAIN Owner 504-312-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA 5971) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |