| NPI | 1699287326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BATES Director; Counselor 318-434-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2700) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |