| NPI | 1285949065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY JEFFERSON SCOTT Chief Of Operations 318-547-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2021-03-11 |