| NPI | 1851830186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NOEL ANDRUS Clinical Social Worker 225-456-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10886) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |