| NPI | 1356771232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DAVIS Owner / Clinical Director 225-252-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1009) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-30 |