| NPI | 1740645266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE B BERFECT-GILLIS Manager 504-249-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 9535) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |