NPI | 1992993521 |
---|---|
Entity Type | Organization |
Authorized Contact | JB WILLIS Owner 318-377-2233 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 2155 LPC 69-LMFT) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |