| 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 Community/Behavioral Health | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2016-12-09 |