| 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 |