| NPI | 1184392813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY AARON SIMMS Owner/Manager 318-623-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-09-27 |