| NPI | 1588431001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KATELY EAGLIN Owner 337-909-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |