| NPI | 1407373657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOSTA CHANTRELL PARKER Owner 504-905-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 11792) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-06-26 |