| NPI | 1285088559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX TERRELL RAY Mental Health Speacilist 318-393-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 010188110) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |