| NPI | 1144104324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DENISE JEFFERSON Chief Executive Officer/Facilitator 318-540-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |