| NPI | 1669574851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL B YOUNG Owner 318-388-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 1926) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 343) |
| 101YM0800X Counselor, Mental Health (Licence: LA 1926) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1926) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |