NPI | 1093211534 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY DARBY Owner 318-742-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |