| NPI | 1285090001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY WARD ROBERTS Clinical Social Worker 225-937-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 2929) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |