| NPI | 1972164176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENISHA GORDON Co Owner 504-813-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |