NPI | 1285850206 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLTON SMITH Chief Operating Officer 318-636-4194 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
311Z00000X Custodial Care Facility (Licence: LA 8360) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2023-06-29 |