| NPI | 1518238021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE RIVARDE Clinical Therapist 504-577-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 3892) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |