| NPI | 1649638198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JACKSON Owner 504-250-6976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1247) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |