NPI | 1982323465 |
---|---|
Other Name | CWT BEHAVIOR HEALTH |
Entity Type | Organization |
Authorized Contact | CRYSTAL PROVOST Administratiion 337-347-4718 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-08-26 |
Last Update Date | 2022-08-26 |