NPI | 1821470188 |
---|---|
Entity Type | Organization |
Authorized Contact | EBONY CONERLY JACKSON Social Worker 225-284-6249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA 9158) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2015-06-23 |