| NPI | 1750679676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HUNTER CEO 225-355-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3959) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1168) |
| 101YM0800X Counselor, Mental Health (Licence: LA 3959) | |
| 101YP1600X Counselor, Pastoral | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 372500000X Chore Provider | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |