| 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 | 2025-09-11 |