| NPI | 1275920605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JACKSON MURPHY Program Director/Owner 318-514-9029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2025-11-14 |