NPI | 1235649559 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH GARDNER Owner/Lac 337-456-5888 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1579) |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-10-02 |