NPI | 1902167331 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY MALONE SUMERFORD President/CEO/Owner 225-344-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 318) |
251S00000X | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2016-12-09 |