| NPI | 1497100150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PEJIC Owner 504-899-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.200771) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1335) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |