NPI | 1003308735 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LAMONT LAXTON Director 225-300-8788 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 6522) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2020-03-30 |