NPI | 1053790659 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE HALL Owner Administrator 225-305-5647 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9810) |
Additional Taxonomies | 251B00000X Case Management (Licence: LA 9810) |
251S00000X (Licence: LA 9810) | |
252Y00000X Early Intervention Provider Agency (Licence: LA 9810) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2016-06-17 |