| NPI | 1265959332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REID CROWELL Owner/Operator 318-349-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 1790) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |