| NPI | 1124643606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA KENT Administrator 318-383-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-08-06 |