| NPI | 1710466040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON DAVID LATIOLAIS Owner, Therapist 337-288-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 6092) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |