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