| NPI | 1780033175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A TERRELL Owner 318-308-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YS0200X Counselor School |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |