| NPI | 1477836948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD JACKSON Social Worker 504-813-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4522) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |