NPI | 1033646328 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON BEARD Professional Counselor 318-527-9452 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2018-03-17 |