| NPI | 1376729517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE BANKSTON SMITH Social Worker 225-767-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 1348) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |