| NPI | 1508100801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY EICHELBERGER Director 318-345-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 4441) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |