| NPI | 1285926477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BRACKEN-CUPPLES Licensed Professional Counselor 318-449-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 2102) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |