| NPI | 1326487836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN HULSEY Counselor 318-998-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4624) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |