| NPI | 1144307034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THROWER CEO 318-636-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1553620) |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-08-31 |