| NPI | 1457703654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN HAWKINS Register Certifie Medical Assistant 225-687-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |