| NPI | 1245094796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER POIRRIER Owner 225-800-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |