| NPI | 1669728051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE MODICA Manager 504-340-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2023-06-10 |