| NPI | 1992960090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLISE H. AUBREY Director 318-861-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3101) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |