NPI | 1295046522 |
---|---|
Entity Type | Organization |
Authorized Contact | SALLY E THIGPEN Owner 318-254-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: LA 476) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1027) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2010-07-01 |