| NPI | 1417277922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAL MATTON Therapist 504-838-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 3130) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |