| NPI | 1316161854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELETTE HOLDEN CEO 318-226-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1696439) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |