| NPI | 1699939413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BROUSSARD BRINGOL CEO 318-422-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3498) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3288) |
| 106H00000X Marriage & Family Therapist (Licence: LA 1056) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |