| NPI | 1568682219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE VINES MCMILLIAN CEO 318-227-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 1744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1744) |
| 106H00000X Marriage & Family Therapist (Licence: LA 534) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 3919) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: LA Z10975) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |