NPI | 1699024448 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN EBANKS Owner 504-256-3478 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA applied for) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2023-06-23 |