| NPI | 1760859813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK FREEMAN Clinical Administrator 504-905-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA SA0010691) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |