| NPI | 1154800688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BESHEARS CEO 225-620-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-06-29 |