| NPI | 1225529175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEI E. SLOCUM Owner 985-214-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12906) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2023-06-27 |