| NPI | 1659595056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J CHRIS BARRILLEAUX Practice Manager 985-447-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |