| NPI | 1043648041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A. SHELBY Director 318-322-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 2401) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |