| NPI | 1992491708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERSTEN V SIPPIO Clinical Psychologist 504-234-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |