| 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 |