| NPI | 1366589210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JONES Facility Manager 318-283-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: LA 91) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: LA 016) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-07-24 |