NPI | 1659595056 |
---|---|
Entity Type | Organization |
Authorized Contact | J CHRIS BARRILLEAUX Practice Manager 985-447-2006 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2007-04-13 |
Last Update Date | 2025-09-11 |