NPI | 1184893380 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE APPLEWHITE Program Director 318-789-6819 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-02-21 |
Last Update Date | 2023-07-11 |