NPI | 1669986576 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY HUTCHINSON Owner/Clinician 337-962-3159 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12132) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2017-11-30 |
Last Update Date | 2018-06-04 |