| NPI | 1164897500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SCOTT COX Administrator 318-236-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-08-01 |