| NPI | 1538417647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE OTIS YOUNG Counselor 318-614-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |