NPI | 1043516453 |
---|---|
Doing Business As | WOMEN'S AND CHILDREN'S CENTER FOR MENTAL WELLNESS |
Entity Type | Organization |
Authorized Contact | ANGELA MILLER Office Manager 318-550-3398 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 200924) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA 201509) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2011-05-12 |