| NPI | 1205946423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY K KERNE Licensed Clinical Social Worker 985-507-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 1772) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |