| NPI | 1043718315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DUGAS Director 318-548-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 4457) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: LA 4457) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |