| NPI | 1215210752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E MEEHAN President/CEO 318-221-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 5705) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2020-09-08 |