| NPI | 1780973628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY STROUD Office Manager 225-924-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 5837) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1435) |
| 106H00000X Marriage & Family Therapist (Licence: LA 425) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |