| NPI | 1316608334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENISE WASHINGTON Owner 225-588-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |