NPI | 1700408622 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEDRA WHITE Owner 318-607-5807 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-05-13 |
Last Update Date | 2022-12-07 |