| NPI | 1174080816 |
|---|---|
| Other Name | ROCK-N-GRIT |
| Entity Type | Organization |
| Authorized Contact | RITA DARLENE MARTIN Administrator/Secretary 318-955-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |