| NPI | 1225539992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN JOHNSON Executive President 318-535-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| 103T00000X Psychologist | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 163W00000X Registered Nurse | |
| 172A00000X Driver | |
| 385H00000X Respite Care | |
| 225600000X Dance Therapist | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 347E00000X Transportation Broker | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |