| NPI | 1659165538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELCHESSADECH CLARICE LAVIGNE Therapist 225-993-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |