| NPI | 1538577630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA BAHAM Therapist/Administrator 225-401-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 7489) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2017-04-20 |