| NPI | 1528513413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA GAGE Mental Health Professional 504-421-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 008538580) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |