| NPI | 1023738606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D LEWIS Director Of Paarmaceutical Services 337-303-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |