| NPI | 1942735956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAONE ANDERS Office Manager 318-732-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: LA 32402-028-0-2017) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-09-05 |