| NPI | 1578263703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE RILES-STEWART Psychotherapist 225-242-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |