| NPI | 1801267547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KENNEDY Owner 225-439-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |