| NPI | 1588973176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS H SALTER Owner 318-251-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 1137) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 1137) |
| 101YM0800X Counselor Mental Health (Licence: LA 1004) | |
| 101YP2500X Counselor Professional (Licence: LA 1519) | |
| 101YS0200X Counselor School (Licence: LA 1004) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-12-14 |