| NPI | 1538694070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA MEREDITH Human Resource Mgr 504-368-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 006114122) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |