| NPI | 1700365996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRYPHENA JENKINS Owner/Lcsw 318-344-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14253) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |