| NPI | 1558780767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAIG DON VARNADO Owner 504-813-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 6387) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |