| NPI | 1316326853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE EVANS Mental Health Professional 985-956-7823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |