| NPI | 1255882510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE HESTER Mental Health Specialist 318-202-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |