| NPI | 1831508126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLL ANNE SULLENBERGER Owner/Manager 985-542-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4170) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |