| NPI | 1467963660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN K PHILLIPS Manger Member 225-305-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3513) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |