| NPI | 1780616110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ULMER COPLEN Program Director 318-484-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 3747) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |