| NPI | 1356127724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEN CUILLIER JOHNSON Owner 225-755-9168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |