| NPI | 1407654627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STARKEY Manager, Member 985-634-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-04-05 |