| NPI | 1285998716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE D SCHAFFNER CEO 318-210-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LA1454) |
| Additional Taxonomies | 251S00000X (Licence: LA LPC LMHP 2785) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC 896) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2015-07-09 |