| NPI | 1699176008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP CONRAD LAFLEUR Member 337-205-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 06560R) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 2829) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |