| NPI | 1730477050 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUSAN FALCON Provider 504-458-6256 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA LCSW 2697) | 
| Enumeration Date | 2011-07-20 | 
| Last Update Date | 2011-07-20 |