| NPI | 1548536303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DALE LOTT Licensed Professional Counselor 985-516-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4039) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |