| NPI | 1922519172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GUIDRY BABIN Owner 225-405-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-02-16 |