| NPI | 1184358483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY H RYLAND Licensed Clincal Social Worker 318-704-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |