| NPI | 1659403921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAYNE BONVILLAIN Owner 318-425-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 316) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |