| NPI | 1225175250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ M HARRIS Ex Director 318-398-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: LA PCA 9687) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |