| NPI | 1902290422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CASSO DOMANGUE Owner/Therapist 985-876-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 10908) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2017-01-03 |