| NPI | 1255799235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA BRUCE CEO 318-414-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2024-03-05 |