NPI | 1073980520 |
---|---|
Entity Type | Organization |
Authorized Contact | RICKEY D. EVANS CEO 318-424-8735 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2015-08-31 |
Last Update Date | 2023-06-21 |