| NPI | 1518460211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS VERGARA Owner 504-275-4489 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: LA MD.204964) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |