| 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 |