| NPI | 1679871339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BORDELON Clinical Social Worker 318-419-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4150) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |