| 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 |