| NPI | 1386142545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEE HOLMES Owner 337-345-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-01-22 |