| NPI | 1033541230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA GREEN Administrative Program Specialist B 318-362-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-03-20 |