NPI | 1982098943 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT PELLEGRIN Business Manager 225-769-8335 |
Organization Subpart ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: KY 1296) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |