| NPI | 1972038032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE MULLER Licensed Clinical Social Worker 504-723-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: LA 7575) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA 7575) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |