| NPI | 1861283160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P DICKSON Addictions Counselor 225-281-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |