| NPI | 1972332617 |
|---|---|
| Doing Business As | NO OTHER NAME |
| Entity Type | Organization |
| Authorized Contact | LATANYA MARIE FOUNTAIN Owner 504-270-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |