| NPI | 1003279654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE LEE Owner 318-423-7963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 103K00000X Behavior Analyst | |
| 251S00000X | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-07-26 |