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