| NPI | 1275771354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SWISHER Owner 318-449-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 3568) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 3568) |
| 101YM0800X Counselor Mental Health (Licence: LA 3568) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |