NPI | 1265465397 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON F BULLOCK Office Administrator 225-673-8258 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 09761R) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2009-05-21 |