| NPI | 1023479102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE FETZER Co Owner/ Counselor 985-276-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4866) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |