NPI | 1609163351 |
---|---|
Entity Type | Organization |
Authorized Contact | REX MENASCO Executive Director 504-838-3235 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2011-07-01 |
Last Update Date | 2011-07-01 |