| NPI | 1477141877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN LOPEZ Licensed Clinical Social Worker 337-201-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2021-01-02 |