| NPI | 1205893641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE D. ALLEN Dir. Of Operations 318-676-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: LA 093) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-08-01 |