| NPI | 1750862868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MEREDITH Licensed Clinical Psychologist 985-249-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 1329) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |