| NPI | 1942767140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DODSON Registered Agent/Owner 504-300-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |