| NPI | 1568948396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBIE SCER Owner & Pc S 318-220-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 939) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2020-07-31 |