| NPI | 1225137060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE DIANNE OLIVER Owner.Administrator 225-769-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA #908) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA #1731) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |