NPI | 1538675459 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE JONES Ap RN, Pmhnp, Lpc 225-278-3541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA AP09208) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA LPC4199) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA AP09208) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA LPC4199) | |
Enumeration Date | 2017-12-15 |
Last Update Date | 2017-12-15 |