NPI | 1295266195 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN B LOGAN Partner 985-871-4114 |
Organization Subpart ? | No |
Primary Taxonomy | 405300000X Prevention Professional (Licence: LA MD.020254) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |