NPI | 1306947049 |
---|---|
Entity Type | Organization |
Authorized Contact | RENESSA L FOWLKES Billing Supervisor 318-473-0863 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-10-17 |