| NPI | 1992150437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JENKINS MILLER Co Owner/Manager 504-251-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-06-03 |