| NPI | 1891836060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE A DANZELL Social Worker 318-678-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 340) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |