| NPI | 1013131267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA B. CRUSE Owner 985-493-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: LA 09188R) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-20 |