| NPI | 1881463081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIANA A. WITHERINGTON Owner/Therapist 318-533-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |