| NPI | 1447402144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA RICKS GONZALEZ C.E.O. 504-231-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-06-23 |