| 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 |