| NPI | 1588910947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SULLIVAN SALONE Founder 225-751-5412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4245) |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical (Licence: LA 0304) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA MPAP 000015) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 10554) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 291U00000X Clinical Medical Laboratory (Licence: LA 19D2061587) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2022-07-28 |