| NPI | 1528230976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WATTS POWELL Office Manager 985-734-1740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |