| NPI | 1730843012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYCE CHARLES Owner 337-873-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X | |
| Enumeration Date | 2021-10-24 |
| Last Update Date | 2021-10-28 |