| NPI | 1174042808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SHELBY CEO 318-322-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 133V00000X Dietitian, Registered | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |