| NPI | 1285820266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY JOHNSON President 318-746-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 6885) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |