| NPI | 1902529704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE GUNNING Owner/Operator/Provider 504-252-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 171400000X | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-08-27 |