NPI | 1093194151 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN FISHER Director 318-614-7644 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA sa0010541) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2015-05-22 |