| NPI | 1730355587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH PERRY PEREGOY Provider/Owner 318-746-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4456) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-01-22 |