| NPI | 1558999656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENISE GRAVES Owner 985-516-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |