| NPI | 1023217684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ETHERTON Partner 504-780-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 859) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-05-21 |