| NPI | 1700436540 |
|---|---|
| Doing Business As | PREVENTIVE OUTCOMES AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | JELINDA GIBSON CEO 504-309-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |