| NPI | 1295949089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE M CLARK Director 318-323-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management (Licence: LA 5007) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-06-16 |