| NPI | 1073963039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L HILLS Clinical Director 318-550-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: LA 06012010) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |