NPI | 1245603331 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLIN RICHARDSON Administrator 318-512-4997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-11-11 |
Last Update Date | 2023-06-21 |