| NPI | 1699738989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALTON RAY DURAL Executive Director 985-519-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 2895) |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2020-08-22 |