| NPI | 1689945487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA F DESFORGES Manager 985-373-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3585) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |