| NPI | 1437437092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN LINCOLN Clinical Social Worker 337-991-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA 6137) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |