| NPI | 1851180954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON REGINA JACKSON Owner 504-220-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-06-30 |