| NPI | 1265580633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACOYA DANIELLE CUMMINGS Chief Executive Officer 318-673-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |