| NPI | 1811243504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILE WATTERS TEBO Owner 504-908-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2415) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |