| NPI | 1134571912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARIANA ALEXIS GRAHAM-TAYLOR Owner/Member 318-464-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-07-15 |