| NPI | 1235442419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAYNE BONVILLAIN Owner/Clinical Director 318-865-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 316a) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |