| NPI | 1689125072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CRUMBLER Nurse Manager 318-371-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13289) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |