| NPI | 1891962643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ROCK FAUCHEUX Doctor/Member 985-502-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2861) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |