| NPI | 1750579306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM J. DUGAS Theripist 985-209-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4615) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-03-31 |