| NPI | 1124918859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WILSON Director 337-458-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |