| NPI | 1154706505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAISA EULANA SHELMIRE Owner 225-939-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8828) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |