| NPI | 1659051142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR WHITE Director/Founder 318-730-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |