| NPI | 1669861043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ANNETTE BONNER Owner 504-220-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4469) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4469) |
| 251S00000X Community/Behavioral Health (Licence: LA 4469) | |
| 305R00000X Preferred Provider Organization (Licence: LA 4469) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-03-09 |