| NPI | 1255705901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKAMIN VICTOR NKENGAKA Chief Operating Officer 318-294-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 10551) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |