| NPI | 1346488418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L SKEESICK Director 318-226-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2978) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: LA 862) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |