| NPI | 1235296906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KAY COATS Office Manager 337-478-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 11) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |