NPI | 1922150689 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE PRESLER Bookkeeper 318-222-0759 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA FS 4514) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA FS 4514) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |