| NPI | 1073015574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKYSHA STARKS-SAMPSON Owner 318-224-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-07-03 |