| NPI | 1396136933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE KIRK Licensed Clinical Social Worker 985-871-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA LA9889) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |