NPI | 1457695694 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS R FORNEA Executive Director 985-735-0160 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1588) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1588) |
101YM0800X Counselor, Mental Health (Licence: LA 1588) | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2012-11-10 |
Last Update Date | 2024-07-03 |