| NPI | 1457396095 |
|---|---|
| Doing Business As | HAMMOND OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES T. RUSSELL Staff Clinical Psychologist 985-340-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: LA 600) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |