NPI | 1871917815 |
---|---|
Entity Type | Organization |
Authorized Contact | CHESTER LEE CADOR Owner 225-456-2204 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3805) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 957) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2014-02-11 |