| NPI | 1649680943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI POLOTZOLA Owner 337-566-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |