| NPI | 1730352790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE JOHN BEASON President/CEO 225-490-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |