| NPI | 1336955780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL QIAO Board Director 337-255-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |