NPI | 1427322072 |
---|---|
Entity Type | Organization |
Authorized Contact | DETRA BLACKWELL Business Manager 504-944-0453 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: LA 6470) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2023-06-27 |