| NPI | 1588853048 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FRANK WILLIAM WHITE Owner 318-221-4455  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8807)  | 
| Enumeration Date | 2007-10-22 | 
| Last Update Date | 2007-11-09 |