| NPI | 1811357858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTELLO Owner 225-354-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5038) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1409) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |