| NPI | 1154557726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M. ROBERTSON Licensed Clinical Psychologist 337-436-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 604) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |