| NPI | 1235029984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADRIC LOTT CEO 318-272-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-05 |
| Last Update Date | 2025-07-05 |