| NPI | 1316091572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY LEIGH GRIGGS Lpn2 318-251-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 137) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |