NPI | 1962749275 |
---|---|
Entity Type | Organization |
Authorized Contact | PEARL RICHARD NELSON Owner 337-429-5129 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
261QM0801X | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2023-06-29 |