NPI | 1356020044 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ROPER Authorized Official 318-225-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2023-07-12 |
Last Update Date | 2023-07-12 |