| NPI | 1689318461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUNINA NUNSANT CFO 318-230-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-05-19 |