| NPI | 1790020659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G ATKINS Director/Owner 318-773-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 931) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |