| NPI | 1407079163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY R VILAS Executive Director 225-924-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 1041C0700X) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |