NPI | 1659842789 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE ANNE KONIKOFF Owner 337-981-2110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |