| NPI | 1730596313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA KISHA DIGGS Administrative Assistant 337-262-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA MD.016463) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |