| NPI | 1326663667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE S. DAVIDSON Manager 225-888-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-07-20 |