| NPI | 1801348206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDELL W STOVE Licensed Professional Counselor 985-209-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5342) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |