| NPI | 1902191158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA LOUISE GILMORE Administrator Owner 225-929-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3560) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |