| NPI | 1316605082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JAMISON Lcsw 985-888-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-02-01 |