| NPI | 1528655701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BANQUER Chief Operating Officer 504-481-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-10-05 |