| 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 |