| 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 |