NPI | 1215335880 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY V HAWKINS CEO 318-670-9719 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2023-06-29 |