| NPI | 1073973475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR W.D. PECANTTE CEO 337-256-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2203783145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X (Licence: LA 2203783145) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-07-06 |