| NPI | 1053588624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY P MASINTER Licensed Clinical Social Worker 225-927-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 1674) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |