| NPI | 1134256472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FREDERICK KUTNER Owner 985-781-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 021881) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 2736) |
| 101Y00000X Counselor (Licence: LA 2916) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-03-11 |