| NPI | 1851973150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA LEJON CLARK Owner 504-356-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-08-18 |