| NPI | 1912149444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BARRILLEAUX Owner 985-447-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 7333) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 3199) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |