| NPI | 1164604609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROGERS VINES Owner 337-235-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3064) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-07-17 |