| NPI | 1700392834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY E HAUSLADEN Mental Health Therapist 985-377-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 5851) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |