| NPI | 1063992485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARAH TAYLOR DRAUGHN Owner 318-600-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 5317) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |