NPI | 1255375978 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA OBALETTE BODEN Chief Executive Officer 318-227-1113 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: LA 00194591) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-08-22 |