NPI | 1689024721 |
---|---|
Entity Type | Organization |
Authorized Contact | RONISHA JOHNSON Mental Health Professional 225-505-8712 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 11446) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-06-20 |