NPI | 1861651879 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE ANTHONY STANTON Social Worker 337-984-4167 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2557) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2008-06-04 |