| 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 |