| NPI | 1649825647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WILLIAMS Clincal Social Work Therapist 318-229-3858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-12-10 |