| NPI | 1902047897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN U O'NEIL Billing Manager 504-766-7941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X (Licence: LA 4005) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2022-03-09 |