| NPI | 1982768263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY S GRIFFIN Owner 504-483-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-06-02 |