| NPI | 1194864629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOHATT Social Worker Iv 318-676-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5084) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |