| NPI | 1982956488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J MCELROY Professional Counselor 985-209-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 4564) |
| Additional Taxonomies | 251S00000X (Licence: LA 1350) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |