| NPI | 1407504087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDILYN PHIPPS HODGES Social Worker/Clinical 225-719-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |