| NPI | 1477124543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RUSSELL Clinical Director 985-809-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 225800000X Recreation Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |