| NPI | 1467559690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN FISHER Director 318-387-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA ADC 11719) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |