NPI | 1801099825 |
---|---|
Entity Type | Organization |
Authorized Contact | SOUNDRA JOHNSON TEMPLE Chief Executive Officer 225-938-0661 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: LA SIL 9505) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |