| NPI | 1174031066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L. SMITH CEO 318-469-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2018-01-13 |