| NPI | 1134491855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM B HESS Clinical Psychologist 318-794-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 1174) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2023-11-21 |