NPI | 1194505974 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN SMITH CEO 318-210-9147 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-09-29 |
Last Update Date | 2023-10-03 |