Graduated: 2002
NPI: 1407879125
Practice Locations (2)
SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY
1809 W AIRLINE HWY
LA PLACE, LA 700683336
9856528444
SOUTH CENTRAL LA HUMAN SERVICES AUTHORITY
157 TWIN OAKS DR
RACELAND, LA 703942761
9855376823
Source: CMS National Downloadable File, September 2026.