| NPI | 1669917761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MICHELE MASTON Owner/Administrator 504-331-8935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2019-02-20 |